Basic Information
| Provider Information | |||||||||
| NPI: | 1477914943 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COLUMBUS BEHAVIORAL HEALTH, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12 BROAD ST | ||||||||
| Address2: | SUITE 403 | ||||||||
| City: | RED BANK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077011938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327471800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 900 E DUBLIN GRANVILLE RD | ||||||||
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| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432292452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327471800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2016 | ||||||||
| LastUpdateDate: | 03/11/2016 | ||||||||
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| AuthorizedOfficialLastName: | PAGE | ||||||||
| AuthorizedOfficialFirstName: | STEVE | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7327471800 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | SUN BEHAVIORAL HEALTH, INC. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283Q00000X | Y | Hospitals | Psychiatric Hospital |
No ID Information.